MS. ELLEN NEWELL MCCULLOUGH PT, DPT
NPI 1699000455
Physical Therapist in South Lake Tahoe, CA

Active since October 13, 2009
1900 HIGH MEADOW TRAIL, SOUTH LAKE TAHOE, CA 96150(408) 313-0899(408) 354-2228 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Physical Therapist

About ELLEN MCCULLOUGH

This page provides the complete NPI Profile along with additional information for Ellen Mccullough, a provider established in South Lake Tahoe, California with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1699000455 assigned on October 2009. The practitioner's primary taxonomy code is 225100000X with license number PT36087 (CA). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1699000455 Verify this NPI
Provider Name
MS. ELLEN NEWELL MCCULLOUGH PT, DPT
Gender
Female
Entity Type
Individual
Location Address
1900 HIGH MEADOW TRAIL SOUTH LAKE TAHOE, CA 96150
Location Phone
(408) 313-0899
Location Fax
(408) 354-2228
Mailing Address
1900 HIGH MEADOW TRAIL SOUTH LAKE TAHOE, CA 96150
Mailing Phone
(408) 313-0899
Mailing Fax
(408) 354-2228
Is Sole Proprietor?
No
Enumeration Date
10-13-2009
Last Update Date
11-05-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT36087
License State
CA
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

36087 (CA)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699000455, enumerated as an "individual" on October 13, 2009.

The provider is located at 1900 HIGH MEADOW TRAIL SOUTH LAKE TAHOE, CA 96150 and the phone number is (408) 313-0899.

Physical Therapist with taxonomy code 225100000X.